<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Filing_type')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-filing_type" data-rule="required" data-source="filing/index" class="form-control selectpage" name="row[filing_type]" type="text" value="{$row.filing_type|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Website_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-website_name" class="form-control" name="row[website_name]" type="text" value="{$row.website_name|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Filing_license_no')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-filing_license_no" class="form-control" name="row[filing_license_no]" type="text" value="{$row.filing_license_no|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Sponsor')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-sponsor" class="form-control" name="row[sponsor]" type="text" value="{$row.sponsor|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Place_business')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-place_business" class="form-control" name="row[place_business]" type="text" value="{$row.place_business|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Office_address')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-office_address" class="form-control" name="row[office_address]" type="text" value="{$row.office_address|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Access_point')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-access_point" class="form-control" name="row[access_point]" type="text" value="{$row.access_point|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Early_warning_info')}:</label>
        <div class="col-xs-12 col-sm-8">
            <textarea id="c-early_warning_info" class="form-control " rows="5" name="row[early_warning_info]" cols="50">{$row.early_warning_info|htmlentities}</textarea>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Area')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-area" class="form-control" name="row[area]" type="text" value="{$row.area|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Created_at')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-created_at" class="form-control" name="row[created_at]" type="number" value="{$row.created_at|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Updated_at')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-updated_at" class="form-control" name="row[updated_at]" type="number" value="{$row.updated_at|htmlentities}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
